WINCHESTER PHYSICIAN ASSOCIATES (NPI# 1093797706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093797706 |
| Entity Type | Organization |
| Organization Name | WINCHESTER PHYSICIAN ASSOCIATES |
| Other Organization Name | ALEWIFE BROOK COMMUNITY PEDIATIRCS |
| Practice Address |
29 Massachusetts Ave Arlington MA 02474-8602 |
| Mailing Address |
Po Box 760 Winchester MA 01890-4260 |
| Practice Telephone | 7816434507 |
| Practice Fax Number | 7816466151 |
| Mailing Telephone | 7817567273 |
| Mailing Fax Number | 7817567274 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2009-01-05 |
| Authorized Official Name | EILEEN WILLS (BILLING MANAGER) |
| Authorized Official Telephone | 7817567273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 71232 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 70683 | MA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 55709 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9777229 | 05 |
| Other Name | Type Code |
|---|---|
| Alewife Brook Community Pediatircs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393603 | Winchester Physician Associates | Internal Medicine | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2005-11-18 |
| 1013318955 | Winchester Physician Associates | Emergency Medicine | 41 Highland Ave, Winchester, MA 01890-1446 | 2014-09-10 |
| 1760813273 | Winchester Physician Associates | Family Medicine | 11 Shore Rd, Winchester, MA 01890-2821 | 2013-12-09 |
| 1265861298 | Winchester Physician Associates | Internal Medicine | 955 Main St, Suite 301, Winchester, MA 01890-1961 | 2013-11-12 |
| 1538598560 | Winchester Physician Associates | Internal Medicine | 23 Warren Ave, Suite 100, Woburn, MA 01801-7906 | 2013-11-12 |
| 1700215738 | Winchester Physician Associates | Obstetrics & Gynecology | 77 Swanton St, Suite 2, Winchester, MA 01890-2039 | 2013-11-12 |
| 1497184311 | Winchester Physician Associates | Family Medicine | 259 Swanton St, Suite A, Winchester, MA 01890-4301 | 2013-11-02 |
| 1750719415 | Winchester Physician Associates | Obstetrics & Gynecology | 955 Main St, Suite # 208, Winchester, MA 01890-1961 | 2013-10-16 |
| 1336577097 | Winchester Physician Associates | Internal Medicine | 620 Washington St, Winchester, MA 01890-1328 | 2013-10-16 |
| 1790112670 | Winchester Physician Associates | Family Medicine | 92 High St, Suite Dh4, Medford, MA 02155-3850 | 2013-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | WINCHESTER PHYSICIAN ASSOCIATES, INC. | 41 Highland Ave., Winchester, MA 01890 |
| Street Address |
29 MASSACHUSETTS AVE |
| City | ARLINGTON |
| State | MA |
| Zip Code | 02474-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821567801 | Kimberly Lee Miner | Nurse Practitioner | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2018-11-19 |
| 1952667685 | Michael Edward Visker | Pediatrics | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2012-04-06 |
| 1881749216 | Mary Colpoys | Pediatrics | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2007-01-24 |
| 1881776276 | Roseann Cutroni | Dietitian, Registered | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2006-10-19 |
| 1952365074 | David Pangburn | Pediatrics | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2006-04-14 |
| 1184688764 | Martha Mccarty | Pediatrics | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427531896 | Carole Caruso | Social Worker | 7 Victoria Rd, Arlington, MA 02474 | 2018-09-12 |
| 1336657915 | Michelle Fournier | Counselor | 406 Massachusetts Avenue, Arlington, MA 02474 | 2018-01-17 |
| 1487183844 | Paula Lambertson | Occupational Therapist | 49 Marathon St, Arlington, MA 02474 | 2017-06-08 |
| 1417486804 | Caitlin Lauria | Behavior Technician | 385 Massachusetts Ave Apt #66, Arlington, MA 02474 | 2017-06-08 |
| 1477093003 | Nicole Sinopoli Fein | Social Worker | 226 Massachusettes Ave, Arlington, MA 02474 | 2017-03-01 |
| 1114384955 | Basheila Purdie | Social Worker | 339 Massachusettes Avenue, Arlington, MA 02474 | 2016-01-25 |
| 1760889158 | Justin Martinez | Occupational Therapist | 7 Huntington Rd, Arlington, MA 02474 | 2014-12-01 |
| 1194120972 | Ann Murray | Massage Therapist | 9 Chestnut Street, Arlington, MA 02474 | 2014-10-23 |
| 1437573417 | Elizabeth Noel Kehrli | Physical Therapist | 1 Symmes Road, Arlington, MA 02474 | 2014-02-11 |
| 1568738292 | Ellenhorn LLC | Psychiatry & Neurology | 406 Masschusetts Avenue, Arlington, MA 02474 | 2012-03-27 |
| Find all providers in zip 02474 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| 1255735791 | Naum I. Becker | Pediatrics | 6201 Matlock Rd Ste 139, Arlington, TX 76002-2763 | 2014-10-13 |
| 1790199735 | Nikita Patel | Pediatrics | 1915 E Mayfield Rd Ste 115, Arlington, TX 76014-2605 | 2014-06-18 |
| 1760750103 | Robert Kennedy Portman Jr. | Pediatrics | 2209 Shadywood Ct., Arlington, TX 76012 | 2011-12-13 |
| 1174828289 | Rainbow Children's Clinic, P.a. | Pediatrics | 1900 Ballpark Way, Ste 106, Arlington, TX 76006-6610 | 2011-01-20 |
| 1316259468 | George Peter Contis | Pediatrics | 2356 N Lincoln St, Arlington, VA 22207-3862 | 2010-07-06 |
| 1649581067 | Saurabh Dasgupta | Pediatrics | 611 S Carlin Springs Rd Ste 301, Arlington, VA 22204-1086 | 2010-06-30 |
| 1154653681 | Sarah Bridges Sheldon | Pediatrics | 22 Mill St Ste 206, Arlington, MA 02476 | 2010-02-09 |
| 1689807315 | Johanna Delacroix | Pediatrics | 920 N Barton St, Arlington, VA 22201-1910 | 2009-08-28 |
| 1629219407 | Purnachander Rao Sirikonda | Pediatrics | 4907 S Collins St Ste 141, Arlington, TX 76018-1159 | 2009-03-09 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.